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BLOOM-DM: Behavioral Modification and Lorcaserin for Overweight and Obesity Management in Diabetes Mellitus

Primary Purpose

Obesity

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Lorcaserin 10 mg once daily (QD)
Lorcaserin 10 mg twice a day (BID)
Matching Placebo
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Obesity focused on measuring obesity, weight loss, lorcaserin, APD356, BLOOM-DM, hypertension, dyslipidemia, sleep apnea, glucose tolerance, cardiovascular disease, Arena

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Overweight/obese men and women with type 2 diabetes mellitus that is managed with oral anti-hyperglycemic agent(s).
  • Body mass index (BMI) 27 to 45 kg/m2, inclusive.
  • Ability to complete a 1 year study

Exclusion Criteria:

  • Pregnancy
  • Use of insulin in any form, exenatide (Byetta) or pramlintide (Symlin) within 3 months prior to screening
  • History of symptomatic heart valve disease
  • Serious or unstable current or past medical conditions

Sites / Locations

  • Arena Pharmaceuticals, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Lorcaserin 10 mg QD

Lorcaserin 10 mg BID

Matching Placebo

Arm Description

Lorcaserin 10 mg tablet each morning and placebo tablet each evening

Lorcaserin 10 mg tablet each morning and evening

Matching placebo tablet each morning and evening

Outcomes

Primary Outcome Measures

Co-primary Endpoint- Percentage of Participants Achieving Greater Than or Equal to 5% Weight Loss From Baseline to Week 52
The percentage of patients with a reduction from baseline body weight of 5% or more after 52 weeks.

Secondary Outcome Measures

Percent Change in Body Weight From Baseline to Week 52
The percent change in body weight (kg) from baseline to week 52.

Full Information

First Posted
January 17, 2008
Last Updated
September 19, 2019
Sponsor
Eisai Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00603291
Brief Title
BLOOM-DM: Behavioral Modification and Lorcaserin for Overweight and Obesity Management in Diabetes Mellitus
Official Title
A 52-Week, Double-blind, Randomized, Placebo-controlled, Parallel-group Study to Assess the Safety and Efficacy of Lorcaserin Hydrochloride in Overweight and Obese Patients With Type 2 Diabetes Mellitus Managed With Oral Hypoglycemic Agent(s)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
December 2007 (undefined)
Primary Completion Date
June 2010 (Actual)
Study Completion Date
October 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the weight loss effect of lorcaserin during and at the end of 1 year of treatment in overweight and obese patients with Type II diabetes mellitus treated with metformin, sulfonylurea (SFU), or either agent in combination with other oral hypoglycemic agents.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Obesity
Keywords
obesity, weight loss, lorcaserin, APD356, BLOOM-DM, hypertension, dyslipidemia, sleep apnea, glucose tolerance, cardiovascular disease, Arena

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
604 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lorcaserin 10 mg QD
Arm Type
Experimental
Arm Description
Lorcaserin 10 mg tablet each morning and placebo tablet each evening
Arm Title
Lorcaserin 10 mg BID
Arm Type
Experimental
Arm Description
Lorcaserin 10 mg tablet each morning and evening
Arm Title
Matching Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo tablet each morning and evening
Intervention Type
Drug
Intervention Name(s)
Lorcaserin 10 mg once daily (QD)
Other Intervention Name(s)
APD356
Intervention Description
Lorcaserin 10 mg tablet each morning and placebo tablet each evening for a duration of 52 weeks.
Intervention Type
Drug
Intervention Name(s)
Lorcaserin 10 mg twice a day (BID)
Other Intervention Name(s)
APD356
Intervention Description
Lorcaserin 10 mg tablet each morning and evening for a duration of 52 weeks.
Intervention Type
Drug
Intervention Name(s)
Matching Placebo
Intervention Description
Matching placebo tablet each morning and evening for a duration of 52 weeks.
Primary Outcome Measure Information:
Title
Co-primary Endpoint- Percentage of Participants Achieving Greater Than or Equal to 5% Weight Loss From Baseline to Week 52
Description
The percentage of patients with a reduction from baseline body weight of 5% or more after 52 weeks.
Time Frame
Baseline and Week 52
Secondary Outcome Measure Information:
Title
Percent Change in Body Weight From Baseline to Week 52
Description
The percent change in body weight (kg) from baseline to week 52.
Time Frame
Baseline and Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Overweight/obese men and women with type 2 diabetes mellitus that is managed with oral anti-hyperglycemic agent(s). Body mass index (BMI) 27 to 45 kg/m2, inclusive. Ability to complete a 1 year study Exclusion Criteria: Pregnancy Use of insulin in any form, exenatide (Byetta) or pramlintide (Symlin) within 3 months prior to screening History of symptomatic heart valve disease Serious or unstable current or past medical conditions
Facility Information:
Facility Name
Arena Pharmaceuticals, Inc.
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28345809
Citation
Magkos F, Nikonova E, Fain R, Zhou S, Ma T, Shanahan W. Effect of lorcaserin on glycemic parameters in patients with type 2 diabetes mellitus. Obesity (Silver Spring). 2017 May;25(5):842-849. doi: 10.1002/oby.21798. Epub 2017 Mar 27.
Results Reference
derived
PubMed Identifier
27888609
Citation
Weissman NJ, Smith SR, Fain R, Hall N, Shanahan WR. Effects of lorcaserin on pre-existing valvulopathy: A pooled analysis of phase 3 trials. Obesity (Silver Spring). 2017 Jan;25(1):39-44. doi: 10.1002/oby.21695. Epub 2016 Nov 26.
Results Reference
derived
PubMed Identifier
27659698
Citation
Handelsman Y, Fain R, Wang Z, Li X, Fujioka K, Shanahan W. Lorcaserin treatment allows for decreased number needed to treat for weight and glycemic parameters in week 12 responders with >/=5% weight loss. Postgrad Med. 2016 Nov;128(8):740-746. doi: 10.1080/00325481.2016.1240591. Epub 2016 Oct 19.
Results Reference
derived
PubMed Identifier
27389084
Citation
Pi-Sunyer X, Shanahan W, Fain R, Ma T, Garvey WT. Impact of lorcaserin on glycemic control in overweight and obese patients with type 2 diabetes: analysis of week 52 responders and nonresponders. Postgrad Med. 2016 Aug;128(6):591-7. doi: 10.1080/00325481.2016.1208618. Epub 2016 Jul 18.
Results Reference
derived
PubMed Identifier
27206567
Citation
Nguyen CT, Zhou S, Shanahan W, Fain R. Lorcaserin in Obese and Overweight Patients Taking Prohibited Serotonergic Agents: A Retrospective Analysis. Clin Ther. 2016 Jun;38(6):1498-1509. doi: 10.1016/j.clinthera.2016.04.004. Epub 2016 May 17.
Results Reference
derived
PubMed Identifier
23661689
Citation
Weissman NJ, Sanchez M, Koch GG, Smith SR, Shanahan WR, Anderson CM. Echocardiographic assessment of cardiac valvular regurgitation with lorcaserin from analysis of 3 phase 3 clinical trials. Circ Cardiovasc Imaging. 2013 Jul;6(4):560-7. doi: 10.1161/CIRCIMAGING.112.000128. Epub 2013 May 9.
Results Reference
derived
PubMed Identifier
22421927
Citation
O'Neil PM, Smith SR, Weissman NJ, Fidler MC, Sanchez M, Zhang J, Raether B, Anderson CM, Shanahan WR. Randomized placebo-controlled clinical trial of lorcaserin for weight loss in type 2 diabetes mellitus: the BLOOM-DM study. Obesity (Silver Spring). 2012 Jul;20(7):1426-36. doi: 10.1038/oby.2012.66. Epub 2012 Mar 16.
Results Reference
derived
Links:
URL
http://www.arenapharm.com
Description
Arena Pharmaceuticals, Inc. Home Page

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BLOOM-DM: Behavioral Modification and Lorcaserin for Overweight and Obesity Management in Diabetes Mellitus

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